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  4. /SUP-294248
  5. /Percent of billed charges

CDM SUP-294248

PLATE L 8HL R

Reported by 47 hospitals in the network under the percent of billed charges methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated percentage of total billed charges.

National pricing summary

Based on 13,875–14,928 billing samples across every hospital reporting.

Low

$253

Average

$471

Median

$466

High

$1.1k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Mercy Health Hackley CampusMuskogen, MI$355$425$1082,189–2,252$193$666
2Saint Alphonsus Regional Medical Center - BoiseBoise, ID$443$455$1001,646–1,673$187$624
3Holy Cross Hospital-Silver SpringSilver Spring, MD$500$495$131,530–1,638$451$506
4St Peters HospitalAlbany, NY$222$277$1161,364–1,463$167$555
5Mercy Health Saint MarysGrand Rapids, MI$383$432$1071,358–1,403$193$666
6St Joseph Mercy Ann ArborYpsilanti, MI$258$311$1231,172–1,199$133$555
7St Mary Mercy LivoniaLivonia, MI$332$379$149575–629$154$777
8Saint Francis Hospital and Medical CenterHartford, CT$302$299$34567–603$220$377
9Samaritan HospitalTroy, NY$222$273$112427–535$167$555
10Mount Carmel New Albany Surgical HospitalNew Albany, OH$415$490$137379–406$258$888
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